Displaying 220741-220750 of 1611142 results.
ID:
220741
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220742
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1080
Qty Limit Days:
365
ID:
220743
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220744
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220745
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220746
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220747
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
220748
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220749
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220750
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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